| Title | Large periampullary villous tumor of the duodenum. | | Author(s) | Cavallini M, Cavaniglia D, Felicioni F, Vitale V, Pilozzi E, Ziparo V | | Institution | Surgical Unit A, Department of Surgery, Second Faculty of Medicine, University of Rome "La Sapienza", Rome, Italy. | | Source | J Hepatobiliary Pancreat Surg 2007; 14(5):526-8. | | Abstract | A 67-year-old woman, who had symptoms of epigastric pain and abdominal distension, was found, on endoscopy, to have a large sessile villous adenoma of the periampullary duodenum. Despite the lack of evidence of malignancy, a pancreaticoduodenectomy procedure was performed, mainly because of the tumor size and site, involving the ampulla of Vater. The presence of the carcinoma was diagnosed only in the resected specimen by definitive histology. Because there is no general consensus on the optimal surgical procedure for the treatment of villous tumors of the duodenum, especially for the early stages, the indications for the operative procedure are discussed, based on a review of the literature. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 17909726 |
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